Evidence map›Paper›PMID 39279760›Full record

ReviewSubstance use & addiction journal2025

Multi-Level Approaches to Fetal Alcohol Spectrum Disorders Prevention Education and Training for Health Professionals.

Faith Ozer Green, Amy K Harlowe, Alexandra Edwards, Daniel P Alford, Hetal Choxi, Jacqueline S German, Diana Ling, Iwona Pawlukiewicz, Reshana Peterson, Kirk von Sternberg and 1 more

Abstract readReview
In one paragraph

Review in Substance use & addiction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Faith Ozer GreenUniversity of Alaska Anchorage Center for Behavioral Health Research & Services, Anchorage, AK, USA.ORCID 0009-0007-1115-774X
Amy K HarloweBoston Medical Center, Boston, MA, USA.
Alexandra EdwardsUniversity of Alaska Anchorage Center for Behavioral Health Research & Services, Anchorage, AK, USA.ORCID 0000-0003-0048-6189
Daniel P AlfordBoston University Chobanian & Avedisian School of Medicine/Boston Medical Center, Boston, MA, USA.
Hetal ChoxiOregon Health and Science University, Portland, OR, USA.ORCID 0000-0002-1255-7709
Jacqueline S GermanBoston University Chobanian & Avedisian School of Medicine/Boston Medical Center, Boston, MA, USA.
Diana LingHealth Behavior Research and Training Institute, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Iwona PawlukiewiczUniversity of Connecticut Health Center, Farmington, CT, USA.
Reshana PetersonAmerican Academy of Family Physicians and the Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kirk von SternbergHealth Behavior Research and Training Institute, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Mary M VelasquezHealth Behavior Research and Training Institute, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.

Funding

NCBDD CDC HHS NU84DD000002NCBDD CDC HHS NU84DD000004NCBDD CDC HHS NU84DD000005NCBDD CDC HHS NU84DD000006NCBDD CDC HHS NU84DD000009NCBDD CDC HHS NU84DD000010
6 · The paper itself

Abstract

backgroundAlcohol-exposed pregnancies, which can lead to fetal alcohol spectrum disorders (FASDs), is one of the most common preventable causes of lifelong intellectual and developmental disabilities in the U.S. Healthcare teams can play a critical role in preventing FASDs; however, they are currently unprepared to do so. Training can remediate this problem. This article explores the different approaches to the education and training of healthcare providers around FASD prevention used by six Centers for Disease Control (CDC)-funded programs, and how they have been adapted to (1) the specific needs of the healthcare professionals and/or the clinical setting and (2) the challenges posed by the COVID-19 pandemic.

methodsThis article offers an in-depth description and comparison of the models utilized by the programs described, detailing the challenges of each model as well as the adaptations made. Interdisciplinary collaboration and review highlights these models and offers a variety of solutions and lessons learned that can be implemented in similar practice settings and/or educational initiatives.

resultsBased on organizational structure (i.e., national organization, educational institution, and clinical settings) and program purpose, different methods were employed for FASD education. Some programs were focused on FASD prevention through staff training and alcohol screening and brief intervention/clinical intervention and others were focused on broadscale professional education and awareness. Improvements were made on an ongoing basis as challenges related to COVID-19, staff shortages, and patient and clinician discomfort were identified, resulting in modifications to content and delivery modality (e.g., online forums and use of social media).

conclusionFASD prevention education is wrought with a variety of challenges related to stigma, discomfort, and misinformation, which these programs encountered in a variety of ways.

Indexed as

Fetal Alcohol Spectrum DisordersHealth PersonnelCenters for Disease Control and Prevention, U.S.COVID-19FemaleHumansPregnancyUnited Stateseducationfetal alcohol spectrum disordersharm reductionpregnancysubstance related disorders

Identifiers

PMID39279760
PMCPMC11910334

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.